Provider Demographics
NPI:1689558843
Name:SOWELL, TRACY (CRNP)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:
Last Name:SOWELL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 E UNIVERSITY DR # 2
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-6725
Mailing Address - Country:US
Mailing Address - Phone:334-740-0351
Mailing Address - Fax:
Practice Address - Street 1:197 E UNIVERSITY DR # 2
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36832-6725
Practice Address - Country:US
Practice Address - Phone:334-329-7862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-191497363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily